Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Ridge Medical Management Corporation

Organization Family Medicine Physician · NPI 1629432828

Blue Ridge Medical Management Corporation is a Family Medicine Physician in Elizabethton, Tennessee. Licensed in Tennessee. Registered with an NPI since 2016.

Licensed in
TN
In the registry since
2016

Practice location Address checks out

1497 W Elk Ave Ste 20
Elizabethton, TN 37643-2895
Phone: (423) 542-7400
Fax: (423) 542-7405
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (TN)

Record details

NPI number1629432828
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 915-5121
Other names Msmg Fm Elizabethton B
NPI enumeratedApril 13, 2016
Last updated in NPPESOctober 7, 2016
Mailing address1497 W Elk Ave, Suite 20, Elizabethton, TN 37643-2895

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